A New Egyptian Validation Tool for Measuring Quality of Nursing Care Using the CQ Index.

BACKGROUND AND PURPOSE: Measuring and monitoring the quality of nursing care are essential for improving quality of nursing care and safety. This study aimed to develop an Egyptian validation tool for measuring the quality of nursing care from the perspectives of patients based on consumer quality index and describe the aspects of quality of nursing care that need improvement. METHODS: A cross-sectional descriptive survey using Consumer quality index questionnaire of nursing care aspects was carried on 400 patients. RESULTS: 44 attributes of care were extracted into nine dimensions accounting for 70.4% of the total variance. The majority of nursing care aspects needed moderate levels of quality improvement. CONCLUSIONS: A valid and reliable Egyptian tool was developed for measuring the quality of nursing care built upon consumer quality index.

A Newly Developed Egyptian Tool for Evaluating Rationing of Nursing Care: Relation to Organization Attributes and Patient Outcomes.

BACKGROUND AND PURPOSE: This work developed an Egyptian tool for evaluating rationing of nursing care in critical units and investigated its association with nursing organization attributes and six nurse-sensitive patient outcomes. METHODS: Rationing of the nursing care questionnaire and concurrent record review were conducted to collect data. RESULTS: Developed Egyptian tool of rationing of nursing care contained 36 items in six components. Adverse patient outcomes were detected as medication administration errors (27.9%), pulmonary infection (24.5%), pressure ulcer (20.3%), bloodstream infections (12.6%), urinary tract infections (10.3%), and patient falls (4.7%). The mild level of rationing of nursing care was positively associated with negative patient outcomes and negatively correlated with fair nursing organization attributes. CONCLUSION: The valid and reliable Egyptian tool for evaluating the rationing of nursing care was developed.

Using Failure Mode and Effects Analysis in Blood Administration Process in Surgical Care Units: New Categories of Errors.

BACKGROUND: Blood administration failures and errors have been a crucial issue in health care settings. Failure mode and effects analysis is an effective tool for the analysis of failures and errors in such lifesaving procedures. These failures or errors would lead to adverse outcomes for patients during blood administration. OBJECTIVES: The study aimed to: use health care failure mode and effect analysis (HFMEA) for assessing potential failure modes associated with blood administration processes among nurses; develop a categorization of blood administration errors; and identify underlying reasons, proactive measures for identified failure modes, and corrective actions for identified high-risk failures. METHODS: A cross-sectional descriptive study was conducted in surgical care units by using observation, HFMEA, and brainstorming techniques. Prioritization of detected potential failures was performed by Pareto analysis. RESULTS: Eleven practical steps and 38 potential failure modes associated with 11 categories of errors were detected in this process. These categories of errors were newly developed in this study. In total, 17 of 38 potential failures were detected as high-risk failures that occurred during the sample-drawing, checking, preparing, administering, and monitoring steps. For cause analysis of failures and errors, proactive suggested actions were undertaken for 38 potential failure modes, and corrective actions for 17 high-risk failures. CONCLUSION: HFMEA is an efficient and well-organized tool for identification of and reduction in high-risk failures and errors in the blood administration process among nurses without building punitive culture. This tool also helps pay attention to redesigning and standardizing the blood administration process as well as providing training and educational programs for providing knowledge.